NPI | 1376878710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.015345) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2009-10-02 |
Last Update Date | 2012-08-03 |