| NPI | 1447397393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2011033278) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149010278) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2025-08-20 |