| NPI | 1154612398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007062A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150012225) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2018-07-25 |