| NPI | 1801562814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.028786) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 11358901) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2025-01-31 |