| NPI | 1720652068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149028869) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.105149) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2025-02-27 |