| NPI | 1073270641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.027341) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.105012) |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2025-10-23 |