| NPI | 1306111703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022674) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.013270) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2020-12-30 |