| NPI | 1760657506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 122555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014346) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-06-28 |