NPI | 1881029114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149023407) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor Mental Health | |
Enumeration Date | 2013-09-05 |
Last Update Date | 2023-06-06 |