| NPI | 1043749310 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.028001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: OK 21219) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2025-05-14 |