| NPI | 1871867101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024007277) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149011233) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2024-03-13 |