| NPI | 1669592002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018602) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992847) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-10-19 |