| NPI | 1477784163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.010386) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: IL 1663932) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2010-01-22 |