NPI | 1285905323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026773) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-01-20 |
Last Update Date | 2024-07-19 |