| NPI | 1902521701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149025963) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150104519) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2023-12-06 |