| NPI | 1922468222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149021017) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150101445) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2020-07-10 |