| NPI | 1578846119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014872) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014872) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2023-11-07 |