| NPI | 1508529702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020073) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 085855) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2022-04-27 |