| NPI | 1689022816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019974) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.101423) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2018-09-30 |