| NPI | 1407973100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 005745) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-007251) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |