| NPI | 1356643605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149-016877) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2015-12-07 |