| NPI | 1285145367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019044559) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2016033432) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.022466) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2020-12-10 |