| NPI | 1811389661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 1999141048) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.008725) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |