| NPI | 1700260460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 114782) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149017721) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-07-06 |