| NPI | 1518320852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.041151) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 11878) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2026-07-20 |