| NPI | 1679280119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149028138) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150109519) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2025-02-05 |