| NPI | 1073950564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016717) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150013963) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2020-12-03 |