| NPI | 1760759138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 6712) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 10425 (LMSW)) |
| 1041C0700X Social Worker Clinical (Licence: IL 150.013234) | |
| 1041S0200X Social Worker School (Licence: IL 2444645) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2018-11-07 |