| NPI | 1023670817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL C014302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013728) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2021-12-10 |