| NPI | 1679864268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150012215) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014922) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2015-07-27 |