| NPI | 1023447455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016686) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.013731) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2020-11-23 |