| NPI | 1275191942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020517) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.014724) |
| 1041S0200X Social Worker, School (Licence: IL 2051034) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |