| NPI | 1609381425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09929335) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149019891) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2023-06-27 |