| NPI | 1851417570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18479) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013046) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-09-29 |