| NPI | 1992080642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 149014865) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149.014865) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2018-06-18 |