| NPI | 1104987148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.013790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8339) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801019586) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2009-10-26 |