| NPI | 1801157417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.016718) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2019-11-14 |