| NPI | 1265997860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.103040) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2025-06-25 |