| NPI | 1083398408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 150.114018) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 118254) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-09-24 |