| NPI | 1679865984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801091568) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2012-11-09 |