| NPI | 1366963761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020779) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020779) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-08-21 |