| NPI | 1821498346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.013907) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW609196618) |
| 1041C0700X Social Worker, Clinical (Licence: OR L7343) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2021-05-30 |