| NPI | 1740783414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149024075) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW16095) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2021-12-12 |