| NPI | 1114288404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017053) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015011135) |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2024-05-14 |