| NPI | 1538799614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203928-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149.021906) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.021906) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2024-09-18 |