| NPI | 1164078762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 107970) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.025995) |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2023-12-29 |