| NPI | 1306385398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149019762) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 150015404) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2018-07-20 |