| NPI | 1972657187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2003032196) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149016386) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2025-01-27 |