| NPI | 1205003746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014738) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014603) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2023-06-05 |