| NPI | 1366817439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.017521) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2026-01-28 |