| NPI | 1811025034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119968) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-008227) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-02-26 |