| NPI | 1497275374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019487) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.014788) |
| 1041S0200X Social Worker, School (Licence: IL 2047268) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |