| NPI | 1659840973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022041624) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149020087) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2023-12-04 |