| NPI | 1174045827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.027189) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.101222) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-05-30 |