| NPI | 1639709306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.023212) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.104258) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2021-04-21 |