| NPI | 1851712392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017993) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.014702) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2015-12-05 |