| NPI | 1578776993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012363) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-02-08 |