| NPI | 1013225754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015191) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12620) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2012-09-12 |