| NPI | 1578923579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018489) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801096399) |
| 104100000X Social Worker (Licence: MI 6801096399) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-06-30 |