| NPI | 1831487560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088450) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 083898) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149026117) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2023-11-14 |