| NPI | 1568122984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2021046501) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.023688) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |