| NPI | 1831270743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15355) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149008182) |
| 1041C0700X Social Worker, Clinical (Licence: NC C005341) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-01-09 |