| NPI | 1194264200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015024020) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018328) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |