| NPI | 1043769193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9603-123) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 106H00000X) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149023933) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2026-06-13 |