| NPI | 1336765528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW24524) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.028867) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2026-03-04 |