| NPI | 1164242699 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149007987) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-007987) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-29 |