| NPI | 1316281603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009333) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.009333) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2020-08-11 |