| NPI | 1235971540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149029936) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149029936) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 149029936) | |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2025-09-19 |