| NPI | 1134548951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016564) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801097164) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-08-12 |