| NPI | 1427573476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.019599) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2019-08-14 |