| NPI | 1407697964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149028830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 122151) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2025-07-14 |