| NPI | 1174978860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020338) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150102173) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2018-07-11 |