| NPI | 1750707394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019433) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924123) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2022-10-04 |