| NPI | 1669855599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018627) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.009785) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2018-06-05 |