| NPI | 1679141071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801103670) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.016396) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-08-08 |