| NPI | 1003277138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15685) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149013664) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |