| NPI | 1255521506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149028606) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 005176) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2025-02-20 |