| NPI | 1093411092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20260) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149023819) |
| 1041S0200X Social Worker, School (Licence: FL 1463192) | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-14 |