| NPI | 1144650888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2012023791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149015144) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |