| NPI | 1700300027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149020943) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009920821) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2019-02-01 |