| NPI | 1538412242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929823) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.015354) |
| 1041C0700X Social Worker, Clinical (Licence: NC C013245) | |
| 1041S0200X Social Worker, School (Licence: IL 2447941) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 29471) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2024-01-09 |