| NPI | 1932618816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014016) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149016456) |
| 1041C0700X Social Worker, Clinical (Licence: SC 14467) | |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2022-02-07 |