| NPI | 1598809782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18225) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-008428) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2014-08-24 |