| NPI | 1649492034 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005362A) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149002724) | 
| Enumeration Date | 2007-05-03 | 
| Last Update Date | 2012-02-15 |