| NPI | 1639648926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149023271) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.103431) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2021-05-14 |