| NPI | 1558494070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17790) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150-010728) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149-013051) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-11-26 |