NPI | 1770716805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149005288) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 149005288) |
101YP2500X Counselor Professional (Licence: IL 149005288) | |
Enumeration Date | 2009-08-24 |
Last Update Date | 2009-08-24 |