| NPI | 1083859920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149020685) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 6296) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2018-12-11 |