| NPI | 1063041804 |
|---|---|
| Former Name | ILANA LAUREL SPERLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61166138) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 27547) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2022-06-30 |