| NPI | 1609881176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149004941) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IL 1194162) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |