| NPI | 1609300359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019282) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927165) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2024-09-02 |