| NPI | 1396980769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.000023) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 6617-123) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2013-12-11 |