| NPI | 1811912850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-008582) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS14604) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |