| NPI | 1083736235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 004076) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.003488) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2025-09-11 |