| NPI | 1164162921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149029653) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 150105087) |
| 104100000X Social Worker | |
| 104100000X Social Worker (Licence: IL 150105087) | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-09-08 |