| NPI | 1912598665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024978) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.104911) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2022-10-31 |