| NPI | 1962946541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149027034) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 0007319) |
| 1041C0700X Social Worker, Clinical (Licence: IA 0007319) | |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2024-07-11 |