| NPI | 1912917360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 05987) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149-002431) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2022-07-21 |