| NPI | 1891503439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149028552) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 12415-123) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-09-03 |