| NPI | 1760007694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.023743) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011527) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2022-01-08 |