| NPI | 1194040329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.005998) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2013-06-13 |