| NPI | 1992965628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013534) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 150010903) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2010-05-12 |