| NPI | 1134352099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 74310) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 150.010166) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2021-07-24 |