| NPI | 1750784203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2017015304) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149016082) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2021-07-12 |