| NPI | 1891267423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2020013031) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.021488) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2020-09-07 |