| NPI | 1891305504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.017734) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |