| NPI | 1881071017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110003) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: IL 150.014750) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.018041) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2022-10-13 |