| NPI | 1922137793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 005158) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.009685) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-05-17 |