| NPI | 1891952560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2004036975) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020540) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2025-11-06 |