| NPI | 1063713535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.027542) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 000282) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2024-08-10 |