| NPI | 1225464191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8435 LISW-CP) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.009136 LCSW) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |