| NPI | 1316208192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-0007470) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166-000510) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |