| NPI | 1790129195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018206) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008340) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2018-05-13 |