| NPI | 1780677542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005131A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149010133) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2007-07-16 |