| NPI | 1063901908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020747) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150015534) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2019-01-09 |