| NPI | 1952893661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022270) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150103924) |
| 104100000X Social Worker (Licence: OH S1701504) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2203714) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2022-07-13 |