| NPI | 1841725504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149018939) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IL 149.018939) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2021-03-06 |