| NPI | 1649073669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 116339) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL ISW21643) |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |