| NPI | 1952829970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW72275) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014806) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |