| NPI | 1417354523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 19551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.028059) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2024-12-12 |