| NPI | 1205631603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.028248) |
| Additional Taxonomies | 104100000X Social Worker |
| 164W00000X Licensed Practical Nurse (Licence: FL 5171844) | |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |