| NPI | 1962266791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.030961) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.112667) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2026-03-03 |