| NPI | 1831675693 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020678) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.01571) | 
| Enumeration Date | 2018-07-16 | 
| Last Update Date | 2025-02-22 |