| NPI | 1639522543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119861) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.018670) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2020-05-13 |