| NPI | 1619702248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 029327) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 119342) |
| 104100000X Social Worker (Licence: IL 113987) | |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2025-05-15 |