| NPI | 1801293857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 35028) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149017098) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2025-04-28 |