| NPI | 1639202179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-013585) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150-010934) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-06-24 |