| NPI | 1235631276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017566) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 34920) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2026-09-19 |