| NPI | 1053072975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.027477) |
| Additional Taxonomies | 251S00000X |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: IL 150108836) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2024-07-29 |