| NPI | 1366614323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 15312) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013903) |
| 1041C0700X Social Worker, Clinical (Licence: PA #CW016445) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2021-08-10 |