| NPI | 1730437179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.015417) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2203986) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2024-02-08 |