| NPI | 1225706229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150111265) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.031014) | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2026-04-20 |