| NPI | 1164658886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 089384) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.010801) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2020-02-26 |