| NPI | 1013242585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022616) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 063141-1) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2024-03-20 |