| NPI | 1083802375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 7756) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149003320) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2018-09-28 |