| NPI | 1689118465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022310) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925178) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2021-01-22 |