| NPI | 1265158851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 095533) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW2328) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.024480) | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2024-11-14 |