| NPI | 1295004091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 114657) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149012192) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |