| NPI | 1205254760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018265) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150014590) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-03-23 |