| NPI | 1487842548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: IL 2271925) |
| 1041S0200X Social Worker School (Licence: IL 1944812) | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |