| NPI | 1801002142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.013008) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.009882) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-06-18 |