| NPI | 1740825934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025066) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.103974) |
| 1041C0700X Social Worker, Clinical (Licence: IA 124496) | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2025-04-08 |