| NPI | 1770884132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018297) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 104100000X Social Worker (Licence: NV 6509-S) | |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2016-04-18 |