| NPI | 1205438538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2014031374) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2022-03-03 |