| NPI | 1356675565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149008962) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IL 157067) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2015-01-08 |