| NPI | 1518269414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013911) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8182) |
| Enumeration Date | 2010-11-28 |
| Last Update Date | 2024-04-30 |