| NPI | 1922666791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025715) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.104521) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-07-17 |