| NPI | 1831689462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149021220) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150102119) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2020-03-23 |