| NPI | 1174707335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114625) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149031634) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2026-03-31 |