| NPI | 1295866515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011119) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 25771) |
| 1041C0700X Social Worker, Clinical (Licence: IL 14901119) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2022-04-06 |