| NPI | 1144599036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 14901548) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 18587) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2012-10-30 |