| NPI | 1891973590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012486) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2004007805) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2012-05-16 |