| NPI | 1952715021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008882) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014754) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2015-06-18 |