| NPI | 1174856769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 149.002048) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 1418) |
| 101YS0200X Counselor, School (Licence: IL 1362616) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2014-07-10 |