| NPI | 1659701654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.028662) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AR 8606-C) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2025-08-12 |