| NPI | 1699913640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW88439) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013964) |
| 1041C0700X Social Worker, Clinical (Licence: GA csw005666) | |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2019-10-01 |