| NPI | 1194017269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006318A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149.014508) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2023-07-27 |