| NPI | 1770932279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13550) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2022-06-23 |