NPI | 1942742754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020141) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150.101754) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2023-04-06 |