| NPI | 1467079848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.023910) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.103965) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2021-10-28 |