| NPI | 1154547453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012584) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2008037177) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-01-02 |