| NPI | 1720592975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022128) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102716) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2025-01-22 |