| NPI | 1134765647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 150103103) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 150103103) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-20 |