| NPI | 1942631049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018411) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150014402) |
| Enumeration Date | 2013-11-29 |
| Last Update Date | 2017-03-11 |