| NPI | 1619043031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017441) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071732) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-05-29 |