| NPI | 1205313616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 072728) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149012642) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2025-01-27 |