| NPI | 1487206918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254290) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.018846) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-08-16 |