| NPI | 1679864748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.018238) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2020-07-20 |