| NPI | 1639698467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24787) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.019587) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2019-05-23 |