| NPI | 1639626047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011486) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149020017) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-06-22 |