| NPI | 1093064701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022184) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801094640) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2024-08-19 |