| NPI | 1003566258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.025166) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2015009285) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-06-11 |