| NPI | 1649418492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2005004554) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149020727) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2005004554) | |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2024-06-19 |