| NPI | 1306191499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015736) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150013081) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2014-10-22 |