| NPI | 1447443544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.006604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2011004778) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2011-03-04 |