| NPI | 1316719651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2023002802) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.031259) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2026-02-25 |