| NPI | 1568928059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020980) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134798TELE) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2025-03-12 |