| NPI | 1417915869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: IL 1538979) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |