| NPI | 1407202815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106561) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149018122) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149018122) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2022-10-20 |