NPI | 1235631276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017566) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 34920) |
104100000X Social Worker | |
Enumeration Date | 2018-03-06 |
Last Update Date | 2022-09-16 |