| NPI | 1952689655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014007327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149013721) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2017-03-24 |