| NPI | 1639887847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018804) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61504440) |
| 1041C0700X Social Worker, Clinical (Licence: NV 12756-C) | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2025-12-09 |