| NPI | 1962899138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149030973) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW006473) |
| 104100000X Social Worker (Licence: PA SW130918) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2026-01-25 |