| NPI | 1205136199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00944372) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014402) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2014-09-23 |