| NPI | 1134660566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019158) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 32989) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2020-12-04 |