| NPI | 1104312388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149028628) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61183725) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2025-02-18 |