NPI | 1902239460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017972) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149017972) |
104100000X Social Worker | |
Enumeration Date | 2013-08-19 |
Last Update Date | 2025-07-09 |