| NPI | 1386987527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085960) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 150-012361) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2019-10-04 |