| NPI | 1801197686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015503) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150010311) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2023-04-07 |