| NPI | 1679046502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.103377) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-023445) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2025-12-09 |