| NPI | 1740388206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2005013076) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012079) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-05-18 |