| NPI | 1760535488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011032) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 2550881) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-06-24 |