| NPI | 1972893162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014034) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014034) |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2019-02-01 |