| NPI | 1619190006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012844) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150.009965) |
| 104100000X Social Worker (Licence: IL 150.009965) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2010-01-06 |