| NPI | 1043554132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016584) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150.013793) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2014-05-27 |