| NPI | 1578977864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY P93175) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.026612) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2024-03-21 |