| NPI | 1609077502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016263) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2007011917) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-09-04 |