| NPI | 1720174964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012694) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-11-16 |