| NPI | 1194191064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017674) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006927A) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2019-08-13 |