| NPI | 1043747397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020403) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150014859) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2021-04-13 |