| NPI | 1801312079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149022812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149022812) |
| 1041C0700X Social Worker, Clinical (Licence: OH I1700595) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-01-19 |