| NPI | 1083259857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22776) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 149.024796) |
| 104100000X Social Worker | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2025-03-31 |