| NPI | 1578233664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149027690) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 17379) |
| 1041C0700X Social Worker, Clinical (Licence: NC C017697) | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2025-02-12 |