| NPI | 1356615918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149027141) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: KY 258754) | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2024-12-03 |