| NPI | 1134510720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018531) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.014593) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2022-08-18 |