| NPI | 1730559386 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007517A)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149017868)  | 
| Enumeration Date | 2015-09-25 | 
| Last Update Date | 2016-04-20 |