| NPI | 1104256114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017001) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.013984) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2016-03-28 |