| NPI | 1356665764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149013793) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: IL 1539330) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2016-04-09 |