| NPI | 1164288601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-22258) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.112993) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-07-10 |