| NPI | 1992406920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149027698) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 228203) |
| 1041C0700X Social Worker, Clinical (Licence: AL 6516g) | |
| 104100000X Social Worker (Licence: IL 150108685) | |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2024-09-05 |