| NPI | 1669183455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 229642) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150109358) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-23742) | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2026-07-13 |