| NPI | 1942734322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149021968) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129784) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2020-05-14 |