| NPI | 1700928199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 99025794A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012274) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-08-05 |