| NPI | 1760782478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149003633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005845A) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2012-11-27 |