| NPI | 1306357058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8324) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.016199) |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2023-04-02 |