| NPI | 1902414824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C019699) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 179.030994) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2026-03-11 |