| NPI | 1366589350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 007479) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149010877) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-10-30 |