| NPI | 1487165304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021723) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LC200001824) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2304955) | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2026-03-23 |