| NPI | 1710400114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149021592) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150102522) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2021-03-13 |