| NPI | 1851572606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.013306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801093324) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2013-09-16 |