| NPI | 1316466568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 14902247) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150102401) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2021-02-20 |