| NPI | 1568549046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.003988) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149.003988) |
| 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-1549) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-04-25 |