| NPI | 1689906778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.010451) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.016755) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2014-07-10 |