| NPI | 1215714712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080730-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014780) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |