| NPI | 1124789284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016241) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 29631) |
| 171M00000X Case Manager/Care Coordinator (Licence: IL 4242224) | |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2021-12-31 |