| NPI | 1982149605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 149019036) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 91958) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149019036) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2022-09-12 |