| NPI | 1598492134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: IL 1203660) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 14902) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2023-03-10 |