| NPI | 1487101523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6802089085) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149021512) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2019-10-09 |