NPI | 1528430899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018270) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-10-27 |
Last Update Date | 2024-05-16 |