| NPI | 1972767598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007772) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013137) |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2012-09-28 |