| NPI | 1649772005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.015805) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020577) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-09-11 |