| NPI | 1649813452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 149.021953) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150-102991) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2022-09-14 |