| NPI | 1164763488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019418) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150013331) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2021-07-08 |