| NPI | 1871757047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16998) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014929) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34005507A) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-04-04 |