| NPI | 1063578557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012080) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 6972-123) |
| 1041C0700X Social Worker, Clinical (Licence: MN 16587) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |