| NPI | 1265452346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.004659) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 1617-123) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |