| NPI | 1689045247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015033396) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149017802) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2024-06-21 |