| NPI | 1972144335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-22818) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.026433) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2025-07-05 |