| NPI | 1538469226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149.014242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014242) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |