| NPI | 1144414210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-013491) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150-011163) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2021-06-11 |