| NPI | 1992117881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 20022016385) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149006741) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-11-06 |