| NPI | 1295194710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149020354) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 32954) |
| 104100000X Social Worker (Licence: IL 150101658) | |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2018-05-30 |