| NPI | 1588963383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.011656) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149011656) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2019-12-03 |