| NPI | 1972068849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022804) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: IL 150103252) | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2021-07-15 |