| NPI | 1699073148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016267) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150012455) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2014-02-14 |