| 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 |