| NPI | 1902235021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014554) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2013017305) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |