| NPI | 1922212497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-013877) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150-010697) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2009-11-05 |