| NPI | 1952978702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.105193) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C017016) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-06-07 |