| NPI | 1457955684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.022684) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA LICSW127441) |
| 1041C0700X Social Worker Clinical (Licence: AZ LCSW-22088) | |
| Enumeration Date | 2020-11-29 |
| Last Update Date | 2024-04-19 |