| NPI | 1447464367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015951) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.010688) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-05-23 |