| NPI | 1952759714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.110326) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2023-06-26 |