| NPI | 1477560852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004114A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.009438) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2012-11-05 |