| NPI | 1982184958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020808) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.013167) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2021-01-10 |