| NPI | 1376077891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018613) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |