| NPI | 1598116808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255939) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.101920) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-08-12 |