| NPI | 1639626914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901523) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018746) |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2019-06-18 |