| NPI | 1770994576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149016592) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW005552) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2015-07-15 |