| NPI | 1417411786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022504) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150103584) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2020-09-30 |