| NPI | 1306963327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150-00-7764) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-01-16 |