| NPI | 1285931915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 06256) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.022472) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2020-12-14 |