| NPI | 1700031390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015468) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903001447) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904007831) | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2012-11-16 |