| NPI | 1619167467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.010630) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149.010630) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2024-07-31 |