| NPI | 1760818140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.013354) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018286) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2017-08-04 |