| NPI | 1760031249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.021586) |
| 1041C0700X Social Worker, Clinical (Licence: CA 107133) | |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2025-08-28 |