| NPI | 1114295250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73957) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149016278) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 31644) | |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2016-12-07 |