| NPI | 1285262287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149019788) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QS1000X Clinic/Center, Student Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-12-19 |