| NPI | 1851836936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021344) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.101937) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2023-08-14 |