| NPI | 1700164597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-13963) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014815) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2022-06-12 |