| NPI | 1740635218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020380) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150101553) |
| 104100000X Social Worker (Licence: WI 129829121) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 9011-123) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2018-12-13 |