| NPI | 1902099914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149007195) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2017-04-12 |