| NPI | 1790351674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149025203) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150104952) |
| 1041S0200X Social Worker, School (Licence: IL 2458408) | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-03-11 |