| NPI | 1275080707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001469) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013713) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW018131) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-01-08 |