| NPI | 1720412604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2025041720) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2026-04-16 |