| NPI | 1720522592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149024574) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10209) |
| 104100000X Social Worker (Licence: KS 05707) | |
| 104100000X Social Worker (Licence: MO 2016041300) | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2023-01-11 |