| NPI | 1114390267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102912-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.021670) |
| 1041C0700X Social Worker, Clinical (Licence: MD 21304) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2024-07-17 |