| NPI | 1003117144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149020389) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150012187) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2025-05-06 |