| NPI | 1679552590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-000343) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-162992) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-07-08 |