| NPI | 1255668380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2008025665) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012995) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2010-04-05 |