| NPI | 1861949729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020133) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.101944) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-08-05 |