| NPI | 1104589100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149027383) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.105387) |
| Enumeration Date | 2021-10-16 |
| Last Update Date | 2024-07-14 |