| NPI | 1437526423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007496) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.01597) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |