| NPI | 1730675141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.110673) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI csw03639) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-12-03 |