| NPI | 1902865165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06369) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149004982) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2009-08-25 |