| NPI | 1215230917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149012160) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149012160) |
| Enumeration Date | 2010-12-19 |
| Last Update Date | 2012-08-13 |