| NPI | 1316624984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.031473) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 12194) |
| 1041C0700X Social Worker, Clinical (Licence: WI 134296) | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2026-08-07 |