| NPI | 1841060464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149028061) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IL 2709949) |
| 1041C0700X Social Worker, Clinical (Licence: TN 8685) | |
| 104100000X Social Worker (Licence: NJ 44SL06777200) | |
| 1041S0200X Social Worker, School (Licence: NJ 1235001) | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-11-14 |