| NPI | 1871956169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018302) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW18129) |
| 101Y00000X Counselor (Licence: IL 149018302) | |
| 101YM0800X Counselor, Mental Health (Licence: FL FL18129) | |
| 101YM0800X Counselor, Mental Health (Licence: IL 149018302) | |
| 101YP2500X Counselor, Professional (Licence: FL SW18129) | |
| 101YP2500X Counselor, Professional (Licence: IL 149018302) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-02-18 |