| NPI | 1811775265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026524) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.109940) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-02-16 |