| NPI | 1740476258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014163) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2019-04-08 |