| NPI | 1952343774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801097185) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149.011536) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2021-08-17 |