| NPI | 1063460350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-006023) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149006023) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-04-05 |