| NPI | 1073360087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149025082) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801122311) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2026-07-09 |