| NPI | 1629451737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 003113) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.018867) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2024-10-29 |