| NPI | 1790147767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149019136) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2014004328) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-05-30 |