| NPI | 1770879033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095346) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-013106) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2017-12-22 |