| NPI | 1063800415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149021019) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150101560) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2019-06-14 |