| NPI | 1669960761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022554) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102788) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2021-10-20 |