| NPI | 1053934125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.023956) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.103062) |
| Enumeration Date | 2020-05-24 |
| Last Update Date | 2024-03-14 |