| NPI | 1083159453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.018816) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW60990238) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2019-12-06 |