| NPI | 1790295871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-020132) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102618) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2019-05-10 |