| NPI | 1114459146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020758) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150102345) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2021-02-24 |