| NPI | 1972726388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28360) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149010823) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-08-09 |