| NPI | 1184941775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 24579) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL Art Therapist: 05640) |
| 104100000X Social Worker (Licence: IL 149-00-5134) | |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |