| NPI | 1659783512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.007915) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34007108A) |
| 1041S0200X Social Worker School (Licence: IL 1993769) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2020-01-30 |