| NPI | 1366123713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149028454) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW04233) |
| 1041C0700X Social Worker, Clinical (Licence: CT 13925) | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2026-10-05 |