| NPI | 1205934486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008802) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-005419) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-08-29 |