| NPI | 1902073737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014401) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IL 150011240) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2010-10-26 |