| NPI | 1104090240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 862) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150010714) |
| 1041S0200X Social Worker, School (Licence: IL 2241654) | |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2023-08-30 |