| NPI | 1932552668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149016283) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL SW12037) |
| 1041C0700X Social Worker Clinical (Licence: FL SW12037) | |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2023-03-28 |