| NPI | 1235425620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018038) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2010028380) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2021-11-04 |