| NPI | 1538305818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078375-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.015402) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2016-02-18 |