| NPI | 1154027050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A14365) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150109749) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-11-03 |