| NPI | 1598364200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 150103799) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 11991) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |