| NPI | 1093256414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020039) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102246) |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2019-04-16 |