| NPI | 1295835205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012515) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150010004) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-12-02 |