| NPI | 1356681647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015892) |
| Additional Taxonomies | 104100000X Social Worker |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2020-02-21 |