| NPI | 1275259152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.028078) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 150.111630) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2024-11-04 |