| NPI | 1679097802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018898) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4052) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2009009458) | |
| Enumeration Date | 2017-07-30 |
| Last Update Date | 2017-07-30 |