| NPI | 1639359698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 149021613) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008569) |
| 1041C0700X Social Worker, Clinical (Licence: NC P006305) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149021613) | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2024-01-18 |