| NPI | 1376745273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 13601) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149-006171) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2021-03-23 |