| NPI | 1073686853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5896) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.008435) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-11-13 |