| NPI | 1053663609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.028686) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 121472) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2025-09-03 |