NPI | 1134277858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.015170) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2007-01-08 |
Last Update Date | 2018-08-24 |