| NPI | 1326319377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016352) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150013469) |
| 174400000X Specialist | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2013-12-12 |