| NPI | 1992073910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014012675) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013560) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2023-02-13 |