| NPI | 1154449569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-00205) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 149002505) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-10-11 |