| NPI | 1609315043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018853) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150014943) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2019-09-29 |