| NPI | 1114424512 |
|---|---|
| Former Name | SOPHIE ROSKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022992) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102711) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2022-04-21 |