| NPI | 1124884754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.028744) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.108996) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-01-29 |