| NPI | 1295190924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22465) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.025602) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2024-08-29 |