| NPI | 1396509303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928667) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |