| NPI | 1427558121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.102974) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149024046) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2023-02-07 |