| NPI | 1831851732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 095876) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107760) |
| 1041C0700X Social Worker Clinical (Licence: IL 149026364) | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2024-06-05 |