| NPI | 1770200719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.111173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61372211) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-09-15 |