| NPI | 1124146998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-002527) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 149-002527) |
| 101YM0800X Counselor, Mental Health (Licence: IL 149-002527) | |
| 101YP2500X Counselor, Professional (Licence: IL 149-002527) | |
| 104100000X Social Worker (Licence: IL 149-002527) | |
| 283Q00000X Psychiatric Hospital (Licence: IL 149-002527) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-11 |