| NPI | 1518072511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-000166) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-000166) |
| 104100000X Social Worker (Licence: IL 150.003363) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |