| NPI | 1659798205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020773) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6842) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW018565) | |
| 133V00000X Dietitian, Registered (Licence: OR LDD10176233) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2022-07-21 |