| NPI | 1043679939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 7878-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.010543) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 31292) | |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2023-12-05 |