| NPI | 1669120234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149025168) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 12675-C) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2025-09-30 |