| NPI | 1437636560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149020634) |
| 104100000X Social Worker (Licence: NY 097820) | |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2021-08-26 |