| NPI | 1891380077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: IL 149026460) | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-07-26 |