| NPI | 1356104871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL LCSW149.029602) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL LSW150.1129.79) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2025-07-14 |