| NPI | 1851451272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012797) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.004709) |
| 101YP2500X Counselor, Professional (Licence: IL 180.006166) | |
| 1041S0200X Social Worker, School (Licence: IL 1465346) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-02-18 |