| NPI | 1417383134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2012036891) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149021202) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2019-07-11 |