| NPI | 1790303923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11519) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.005980) |
| 101Y00000X Counselor (Licence: SC 11519) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW22353) | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2026-03-17 |