| NPI | 1902254980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK CSWS959) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 6105) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149002689) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-06-28 |