| NPI | 1235869694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026516) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: TX 108440) | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-02-01 |