| NPI | 1578968202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019103) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2014035072) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2017-03-03 |