| NPI | 1669804738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5775) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014782) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2016-08-14 |