| NPI | 1467688010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149008362) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: IL 1510667) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2010-02-08 |