| NPI | 1417338799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018494) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150015210) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2017-09-01 |