| NPI | 1164966388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014903) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.024870) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2026-03-18 |