| NPI | 1417523184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123524) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149025920) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2025-10-03 |