| NPI | 1043860117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178016162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator (Licence: IL 178016162) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-10-05 |