| NPI | 1447268628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149002602) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000331) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2013-01-25 |