| NPI | 1619356540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.018990) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34007741A) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2017-02-24 |