| NPI | 1164997599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020837) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041S0200X Social Worker, School (Licence: IL 2288720) | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2019-01-08 |