| NPI | 1649291915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-006870) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 6709-123) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2011-01-31 |