| NPI | 1720277692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 06450) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149012115) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2021-12-17 |