| NPI | 1487075354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014398) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 1114) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |