| NPI | 1609167956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015204) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.012790) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2022-02-13 |