| NPI | 1629252739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149004883) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IA 05255) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2009-06-15 |