| NPI | 1972168862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9150-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.022335) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2022-02-10 |