| NPI | 1215478961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.210240) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2026-01-13 |