| NPI | 1790343218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.021307) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 35262) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |