| NPI | 1467065110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021265) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9734-123) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2026-06-29 |