| NPI | 1871036640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19240) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018409) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2023-03-30 |