| NPI | 1134585441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149021356) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I1501458S) |
| 104100000X Social Worker (Licence: IL 149021356) | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2019-08-12 |