| NPI | 1265946354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019901) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LC200001472) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2023-05-18 |