| NPI | 1487388476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16163) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.109201) |
| 101Y00000X Counselor | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.028131) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2025-03-26 |