| NPI | 1972754414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014507) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.011872) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2025-06-27 |