| NPI | 1306976667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2007001316) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149010158) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |