| NPI | 1336761105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020972) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131876-121) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2024-02-09 |