| NPI | 1871215772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024890) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.104901) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-11-10 |