| NPI | 1558834382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.028642) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 30760) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2026-05-26 |