| NPI | 1063534592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026553) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-02-26 |