| NPI | 1750821351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.101769) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150.101769) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-20 |