| NPI | 1164434643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.002865) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 004789) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2012-03-06 |