| NPI | 1528472974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018464) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2017023531) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2022-07-21 |