| NPI | 1215667464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.106823) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150.106823) |
| Enumeration Date | 2022-06-11 |
| Last Update Date | 2022-06-11 |