| NPI | 1992937924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149023187) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60727455) |
| 1041C0700X Social Worker, Clinical (Licence: OR L6557) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 080003-1) | |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2022-01-24 |