| NPI | 1124766266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 150.108067) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 104100000X Social Worker (Licence: IL 150.108067) | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-06-03 |