| NPI | 1720491079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34011799A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.028782) |
| 1041C0700X Social Worker, Clinical (Licence: MN 17301) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2025-07-23 |