| NPI | 1952993404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149006914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041S0200X Social Worker, School (Licence: IL 149006914) | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |