| NPI | 1124314117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010831) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.012194) |
| 1041C0700X Social Worker, Clinical (Licence: MD 23189) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-04-03 |