| NPI | 1548663008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: 149.017003) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149017003) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2019-12-03 |