| NPI | 1326317801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018506) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150013239) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928038) | |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2023-02-13 |