| NPI | 1851762413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018630) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150015186) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2018-02-14 |