| NPI | 1871884312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149014602) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |