| NPI | 1790261907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021952) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.103086) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2020-03-03 |