| NPI | 1396092342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017550) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.014470) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2015-05-10 |