| NPI | 1568612919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2012030316) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149015390) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2012-10-01 |