| NPI | 1518410646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018855) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.015038) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2017-04-03 |