| NPI | 1669703070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013339) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2021-06-14 |