| NPI | 1790040053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015013) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 149.015013) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2023-07-14 |