| NPI | 1750765186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017801) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2014002638) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2023-10-26 |