| NPI | 1598304255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025215) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.103417) |
| Enumeration Date | 2019-12-29 |
| Last Update Date | 2024-04-01 |