| NPI | 1144697095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020031) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2020-05-07 |