| NPI | 1487637641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014686) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 103058) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2019-01-10 |