| NPI | 1053120899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150115457) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 150115457) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-07-11 |