| NPI | 1912545815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.023322) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.103927) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2022-11-17 |