| NPI | 1992290506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022027) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102349) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-05-25 |