| NPI | 1760753677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015546) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.013481) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2014-02-06 |