| NPI | 1639495583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014077) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005915A) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801087443) | |
| Enumeration Date | 2010-04-18 |
| Last Update Date | 2010-07-27 |