| NPI | 1790154557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115109) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.022758) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2023-06-12 |