| NPI | 1013108224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015018) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.009957) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149015018) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2022-01-14 |