| NPI | 1912377086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.016255) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: IL 1861152) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2017-01-11 |