| NPI | 1083930705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014109) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 149-014109) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2023-11-15 |