| NPI | 1780929430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.016380) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 150012859) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2014-04-08 |