| NPI | 1760726012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018739) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2013005209) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2017-02-23 |