| NPI | 1932133188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149004681) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW531) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-11-15 |