| NPI | 1538344668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009149) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927800) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW103433) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW18447) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2021-12-30 |