| NPI | 1295377158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149.028361) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW122842) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.028361) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 122842) | |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2025-10-31 |