| NPI | 1114035219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 800) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 149011012) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2024-02-21 |