| NPI | 1760713739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014084) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2015-10-30 |