| NPI | 1629481718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020982) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 5626) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2019-03-01 |