| NPI | 1982377628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 150.105205) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 27436) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-11-14 |