| NPI | 1790331528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2017031534) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2024-04-17 |