| NPI | 1083195184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 108786-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020501) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2020-01-14 |