| NPI | 1780920579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.011839) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 149.011839) |
| 1041S0200X Social Worker, School (Licence: IL 1938754) | |
| Enumeration Date | 2012-12-25 |
| Last Update Date | 2012-12-25 |