| NPI | 1316587520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149021972) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 164W00000X Licensed Practical Nurse (Licence: IL 043105752) | |
| 174H00000X Health Educator | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-03-16 |