| NPI | 1265994776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8564) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.021147) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2026-04-03 |