| NPI | 1336438183 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025378) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079290) | 
| Enumeration Date | 2011-04-01 | 
| Last Update Date | 2024-09-25 |