| NPI | 1528149093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.011373) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-10-10 |