| NPI | 1225801509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2024044475) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.026049) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-11-14 |