| NPI | 1225316581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020734) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: CA 94269) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW16838) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801107893) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2022-03-09 |