| NPI | 1215294152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149028883) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904018214) | |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2025-04-08 |