| NPI | 1578708624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014647) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.011590) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2018-11-16 |