| NPI | 1205363421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8472) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149019376) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2024-03-18 |