| NPI | 1255998746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022538) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 150.102514) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2020-09-22 |