| NPI | 1689838682 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094133)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149012965)  | 
| Enumeration Date | 2008-07-18 | 
| Last Update Date | 2024-07-22 |