| NPI | 1760470694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005249A) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 1041S0200X Social Worker, School (Licence: IL 2150611) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2008-06-06 |