| NPI | 1013078930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 827) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149003252) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-10-22 |