| NPI | 1053483131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014645) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 17994) |
| 1041C0700X Social Worker, Clinical (Licence: CA 25050) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-10-04 |