| NPI | 1588420129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16722) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.111536) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2026-02-18 |