| NPI | 1154158434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 128285) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149011506) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |