| NPI | 1760067912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025399) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150103612) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2023-09-13 |