| NPI | 1932978285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.028997) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.110980) |
| 1041C0700X Social Worker, Clinical (Licence: IL 150.110980) | |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2025-05-28 |