| NPI | 1235123548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW1930) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149003627) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2007-07-08 |