| NPI | 1063422418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 4477) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150-000664) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |