| NPI | 1568860773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 7139) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 1500147100) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |