| NPI | 1871785634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011498) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149011498) |
| 106H00000X Marriage & Family Therapist (Licence: IL 149011498) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2019-11-05 |