| NPI | 1760632830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.010999) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149.010999) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2024-03-02 |