| NPI | 1376301663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.105319) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.028966) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2025-03-17 |