| NPI | 1730590787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021048802) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.016539) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-11-29 |