| NPI | 1720531379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024961) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 8525-S) |
| 171M00000X Case Manager/Care Coordinator | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2024-01-03 |