| NPI | 1942518261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2013035767) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149015702) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2023-10-19 |