| NPI | 1871994715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28302) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150015108) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2024-01-02 |