| NPI | 1548453517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15179) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.010982) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.013177) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2013-01-17 |