| NPI | 1700574092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 080434) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149002897) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-28 |