| NPI | 1700254380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019675) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005942) |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2019-01-09 |