| NPI | 1063693745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149013221) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: IL 150009397) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2016-03-14 |