| NPI | 1659718088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018371) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: ID 149018371) | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2021-09-14 |