| NPI | 1629384573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 006969) |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2012-11-14 |