| NPI | 1942694799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21718) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.017255) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2021-02-01 |