| NPI | 1053069864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149025691) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.106358) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2023-07-24 |