| NPI | 1508098757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2002028527) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.009659) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2018-03-17 |