NPI | 1902202054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015907) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149015907) |
101YP2500X Counselor, Professional (Licence: IL 149015907) | |
Enumeration Date | 2014-11-17 |
Last Update Date | 2024-04-04 |