| NPI | 1972362432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150116727) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150116727) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2025-07-23 |