| NPI | 1629495932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024650) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 11080) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-10-11 |