| NPI | 1710361183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149010053) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7369-123) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |