| NPI | 1295799468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149007714) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IL 73) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2010-04-30 |