| NPI | 1598105918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016962) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 60796) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2015-05-18 |