| NPI | 1144672601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017035177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924939) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.020643) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2022-06-17 |