| NPI | 1558043257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149029302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 58.015875) |
| 1041C0700X Social Worker, Clinical (Licence: ND 6641) | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2026-02-16 |