| NPI | 1689015166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009368) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.015844) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-10-16 |