| NPI | 1861844250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 21108) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149017219) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |