| NPI | 1508409681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021895) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.103100) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2024-01-08 |