| NPI | 1710241666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149025990) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 36555) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34009103A) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-11-28 |