| NPI | 1235149626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149007228) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.007228) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-11-14 |