| NPI | 1992846448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 06721) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149011719) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2021-08-02 |