| NPI | 1235639089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.023511) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2018002377) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2024-10-16 |