| NPI | 1043247216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2001001527) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-009566) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-05-30 |