| NPI | 1124489109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.021777) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2026-01-16 |