| NPI | 1902773351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149031782) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150111363) |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2026-05-19 |