| NPI | 1003242603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008166) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 180 008166) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2021-12-06 |