| NPI | 1386061059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: IL 150.014825) | |
| 104100000X Social Worker (Licence: IL 150.014825) | |
| 1041C0700X Social Worker Clinical (Licence: IL 149.02194) | |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2022-06-27 |