| NPI | 1356364954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017149) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 6704-123) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-02-26 |