| NPI | 1528392669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149013222) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 127662-121) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2013-11-12 |