| NPI | 1356394530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011402) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-08-11 |