| NPI | 1831486802 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: IL 2360552)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2011-06-29 | 
| Last Update Date | 2019-12-16 |