| NPI | 1053659870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017593) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150012419) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2023-08-21 |