| NPI | 1124246871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.017623) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801108606) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-10-18 |