| NPI | 1659678241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011565) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180004238) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |