| NPI | 1689922502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.016112) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-19019) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2022-06-17 |