| NPI | 1891788618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007906) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 14900125) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2012-09-04 |