| NPI | 1710031075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013834) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.010652) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-11-17 |