| NPI | 1326662313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149024173) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801105385) |
| 1041S0200X Social Worker, School (Licence: IL 2444069) | |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2024-01-19 |