| NPI | 1679829980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2010016254) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.022293) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2020-10-01 |