| NPI | 1619646254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801111242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149021125) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-14 |