| NPI | 1114659786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 113324) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.028164) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2026-01-05 |