| NPI | 1134886336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 150.103731) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 36656) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149024242) | |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2023-03-15 |