| NPI | 1760031249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107133) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.021586) |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2023-03-10 |