| NPI | 1770509960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 002117) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 140-010352) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-05-15 |