| NPI | 1023216157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007353) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012092) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-12-16 |