| NPI | 1972921484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014627) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009429) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2018-06-25 |