| NPI | 1407373830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007564) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.018940) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2026-03-03 |