| NPI | 1609329895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 34007702A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33006533A) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2017-01-09 |