| NPI | 1841846540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108459) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.025175) |
| 104100000X Social Worker (Licence: CA 97318) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 094746) | |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2023-01-11 |