| NPI | 1386761914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-11562) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149007341) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-26 |