| NPI | 1194891028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 000686) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw 5084) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.006232) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |