| NPI | 1477757714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014948) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.009917) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2021-03-04 |