| NPI | 1154205169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 1041C0700X) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IL 1041C0700X) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |