| NPI | 1619300803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 75501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149016051) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2014-09-22 |