| NPI | 1609883834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2006015818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000120314) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149011013) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-07-17 |