| NPI | 1366871204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149006887) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 149006887) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2020-02-25 |