| NPI | 1740955533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 16184) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2023-04-18 |