| NPI | 1073026159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7509) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.018472) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2022-06-16 |