| NPI | 1497297352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020470) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102048) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2020-09-06 |