| NPI | 1902129257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015976) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150011922) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2013-09-04 |