| NPI | 1740798537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149021316) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102969) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2019-06-19 |